Reconstructive and Implant Dental Center - Kansas City                                                                                            dental-implants@dr-amet.com          Phone: 913-492-2233          Fax: 913-492-2234                 Office Information Video              

 ADVANCING THE ART AND SCIENCE OF DENTISTRY

 

MAXILLARY SINUS GRAFTING

with

IMPLANT PLACEMENT

One of dentistry’s goals is to make implant treatment available to all patients who may benefit from it. Unfortunately, the advanced bone loss that accompanies long term wearing of upper complete denture or upper removable partial denture renders these same patients poor candidates for dental implant treatment.

The patient with advanced bone loss in the posterior upper jaw poses serious challenges for implant therapy. Generally, the type of bone available in the upper jaw is spongy bone with its large spaces and non-dense, soft nature. This is not the quality of bone suited for dental implant therapy. Another factor influencing dental implant treatment in the upper jaw is with the lost of upper posterior teeth, enlargement of the sinuses occurs with encroaches on what little bone that remains. Successful implant therapy in the maxillary jaw is dramatically reduced if poor bone quality is combined with a lack of sufficient bone height and density. Management of these conditions is accomplished with the use of larger or wider and longer implants with a bioactive coating and sinus grafting.

Subantral augmentation or sinus grafting is a way to improve results in the severely resorbed posterior upper jaw. By increasing bone in the sinus region, the subantral augmentation enables the practitioner to use larger and longer implants that are indicated in the posterior region to replace molars to withstand the biting forces exerted there. Sinus augmentation should be considered whenever a lack of alveolar bone height prevents the use of implants of 10mm in length. Ridge augmentation and/or bone expansion is also advisable if the alveolar bone width is less than 4mm.

 

 

  Original Appearance

 

        Initial Radiograph

 

 

      Original Appearance Intraoral

 

          Start of Sinus Surgery

 

 

           Lateral Entrance into Maxillary Sinus with "Collatape"

 

        Grafting into SinusCavity

 

 

Suture Closure of Opening into Sinus

 

One Day Post-Op from Surgery

 

 

Pre-Op Planning for Implant Placement

 

Completed Restorative Treatment of Lower Arch

 

 

Planning for Aesthetics of the Maxillary Bridge

 

Treatment Denture & Surgical Template for Implant Guide

 

Holes in CT scan Appliance for Radiopaque Composite

 

"Simplant" Program for Implant Planning & Placement

 

 

"Simplant" Program for Implant Planning & Placement

 

 

Holes in CT scan Appliance Used for Implant Surgery

 

 
Holes in CT scan Appliance Used for Implant Surgery

 

 

Primary Closure Day of Surgery

 

 
Two Days Post-Op from Surgery

  Radiograph Two Days Post-Op from Surgery

 

 
Treatment Denture Used for Planning Aesthetics

  Diagnostic Mounting for Provisionals & Abutments

 

 
Diagnostic Wax-Up

  Wax-Up for Custom Abutments

 

 
Provisionals Used During Initial Implant Loading

Provisionals Used During Initial Implant Loading

 
Final Radiograph Final Aesthetic Result

 

15 Year Follow-Up

 

Final Radiograph: 15 Year Follow-Up

 

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